静脉性勃起功能障碍17例手术疗效分析  

The analysis of the efficacy of 17 surgeries for venous erectile dysfunction

作　　者：邓小华[1] 袁昊[1] 

机构地区：[1]嘉应学院医学院外科教研室,广东梅州514031

出　　处：《现代泌尿外科杂志》2009年第1期27-28,共2页Journal of Modern Urology

摘　　要：目的比较静脉性勃起功能障碍手术前、后阴茎海绵体血流动力学变化。方法17例接受手术治疗的静脉性勃起功能障碍患者,在其手术前和手术后2～10个月内,采用彩超对阴茎海绵体动脉收缩期最大血流速度、阴茎海绵体动脉血流阻力指数、阴茎背深静脉血流速度等进行检测。对比术前、术后上述各项血流指数的变化。并用统计软件(SPSS-13.0)对结果进行统计学分析。判断其手术后的勃起效果。结果术后阴茎海绵体动脉的平均PSV(44.6cm/s)与术前(42.0cm/s)无统计学差异(P>0.05);手术后RI平均1.0高于手术前0.79(P<0.01);手术后背深静脉未见血流。患者术后阴茎勃起效果良好。结论静脉性勃起功能障碍患者在阴茎背深静脉包埋术后可改善其阴茎海绵体动脉血流阻力指数,从而改善阴茎的勃起状况。Objective To compare the pre-surgery and post-surgery hemodynamic differences of penile cavernous tissue. Methods Color Doppler imaging （CDI） was used to test the pre-surgery and parameters 2 - 10 months after surgery, including the peak systolic velocity （PSV）, the resistance index （RI）, the artery in penile cavernous tissue and venous velocity. Then statistical software, SPSS-13.0, was used to analyze the data and estimate the erectile efficacy. Results The average PSV of post-surgery was 44. 6 cm/s higher than that of pre-surgery （42. 0 cm/s）, which had no statistical significance （P〉0.05）. The average RI of post-surgery was 1.0 higher than that of pre-surgery （0.79）, which had statistical significance （P〈0.01）. And there was no blood flow in deep dorsal vein after the surgery. The erectile efficacy of post-surgery was satisfactory. Conclusion By the surgery of embedding deep dorsal vein of penis, the RI of the artery in penile cavernous tissue can be ameliorated and then the erectile function can be enhanced.

关 键 词：静脉性勃起功能障碍 阴茎背深静脉包埋术 彩超 

分 类 号：R698[医药卫生—泌尿科学]